How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $147.91 | Facility | None | $40.74 | $40.74 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $123.03 Typical High $131.83 | Professional | None (both parts) | $100.00 | $123.03 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $54.95 Typical High $57.54 | Professional | 26 · Professional part | $39.81 | $54.95 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $64.57 Typical High $87.10 | Professional | TC · Technical part | $53.70 | $64.57 | $87.10 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,862.09 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,862.09 | $1,949.84 | $1,949.84 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $2,089.30 Typical High $3,890.45 | Facility | None | $1,230.27 | $2,089.30 | $3,890.45 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $181.97 Typical High $194.98 | Professional | None (both parts) | $89.13 | $181.97 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $30.20 | $70.79 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $123.03 Typical High $123.03 | Professional | TC · Technical part | $63.10 | $123.03 | $123.03 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $158.49 Typical High $223.87 | Facility | None | $125.89 | $158.49 | $223.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $104.71 Median $204.17 Typical High $794.33 | Professional | None (both parts) | $104.71 | $204.17 | $794.33 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $77.62 Typical High $309.03 | Professional | 26 · Professional part | $35.48 | $77.62 | $309.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $141.25 Typical High $524.81 | Professional | TC · Technical part | $69.18 | $141.25 | $524.81 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,951.21 | Facility | None | $1,862.09 | $1,862.09 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $109.65 Typical High $190.55 | Professional | None (both parts) | $89.13 | $109.65 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $36.31 Typical High $66.07 | Professional | 26 · Professional part | $34.67 | $36.31 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $74.13 Typical High $131.83 | Professional | TC · Technical part | $51.29 | $74.13 | $131.83 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $58.88 Typical High $61.66 | Professional | 52 · Reduced service | $50.12 | $58.88 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $23.44 Typical High $24.55 | Professional | 53 · Discontinued | $19.95 | $23.44 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $93.33 Typical High $97.72 | Professional | FX · Film X-ray | $79.43 | $93.33 | $97.72 |
Where Kansas sits
The same service costs 4.2 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Kansas· 18th of 51
$145
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.